WO2004071524A1 - Albumin solution and method for the production thereof - Google Patents
Albumin solution and method for the production thereof Download PDFInfo
- Publication number
- WO2004071524A1 WO2004071524A1 PCT/EP2004/001397 EP2004001397W WO2004071524A1 WO 2004071524 A1 WO2004071524 A1 WO 2004071524A1 EP 2004001397 W EP2004001397 W EP 2004001397W WO 2004071524 A1 WO2004071524 A1 WO 2004071524A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- albumin
- solution
- albumin solution
- stabilizer
- range
- Prior art date
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K38/00—Medicinal preparations containing peptides
- A61K38/16—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof
- A61K38/17—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans
- A61K38/38—Albumins
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P43/00—Drugs for specific purposes, not provided for in groups A61P1/00-A61P41/00
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P7/00—Drugs for disorders of the blood or the extracellular fluid
- A61P7/08—Plasma substitutes; Perfusion solutions; Dialytics or haemodialytics; Drugs for electrolytic or acid-base disorders, e.g. hypovolemic shock
Definitions
- the invention relates to a therapeutically usable virus-inactivated albumin and a method for its production.
- Albumin is the most strongly represented plasma protein in the blood plasma. Albumin can bind many endogenous and exogenous substances to its molecule. One of its main functions is based on this binding capacity: the transport of the substances bound to albumin.
- albumin is also an important depot for a variety of compounds, such as long chain fatty acids, bilirubin, tryptophan, thyroxine or metal ions. Active pharmaceutical ingredients such as warfarin, digitoxin or naproxen are also bound to albumin and transported.
- albumin preparations are produced by means of a modified Cohn fractionation, this method generally consisting of several fractionation steps.
- Pasteurization (10 hours at 60 ° C) of the albumin concentrate has been used as a virus inactivation step for decades.
- Stabilizers are added to avoid denaturing albumin during this step.
- sodium caprylate (sodium octanoate) or N-acetyltryptophan or a combination of both are used as stabilizers.
- the object of the present invention is to provide an albumin preparation which does not have this disadvantage.
- Figure 2 illustrates the binding behavior of albumins of different origins in the presence of different concentrations of phenylbutazone.
- Fig. 3 shows the binding behavior of various albumins' illustrated provenance in the presence of various concentrations of warfarin.
- albumin according to the invention has a binding capacity which is at least 10% higher than albumin virus-inactivated by pasteurization, typically 20 to 500% increased binding capacity, in particular 100% to 500% increased binding capacity. Depending on the substance to be bound, even higher values are possible in individual cases.
- the substances are, in particular, those which are bound and / or transported by native albumin, which in particular includes low molecular weight active substances.
- the low molecular weight active ingredients are organic or inorganic substances, nucleic acids, polypeptides, which typically have a molecular weight of ⁇ . Have 10,000 da.
- the albumin according to the invention can be in a liquid solution or in a solid state, in particular in a lyophilized form.
- indole stabilizer is intended to encompass all stabilizers which have an indole structure, e.g. N-acetyl tryptophan.
- albumin is also mentioned among other proteins.
- the SD reagents can be removed with vegetable oils, for example soybean oil, and subsequent hydrophobic interaction chromatography.
- vegetable oils for example soybean oil
- the method according to claim 8 is therefore to be regarded in one aspect as an analogy method for the production of the albumin according to the invention.
- a matrix is preferably proposed there, for example a silica matrix, to which hydrophobic side chains, namely branched or unbranched C 6 -C 24 alkyl chains, are bound.
- hydrophobic matrix instead of a matrix which carries, for example, C 18 alkyl chains as hydrophobic side chains, has a higher binding capacity for adsorbing detergents. Accordingly, no further hydrophobic groups need be bound to the matrix used according to the invention. A method using such a matrix is therefore also the subject of the invention.
- Virus inactivation is advantageously carried out at a temperature in the range from 25 to 40 ° C.
- a preferred embodiment of the method according to the invention consists in that the virus inactivation is carried out over a period in the range from 4 to 6 hours.
- Glycine is a very good stabilizer.
- Castor oil is very suitable for oil extraction.
- hydrophobic matrices used according to the invention can carry branched or linear aliphatic groups with more than 24 carbon atoms.
- PKA precallikrein activator activity
- HMWK high molecular weight kininogen
- PKA is usually inactivated during the pasteurization of protein preparations. Since heat treatment, by which experience has shown that the PKA is at least partially inactivated, is disadvantageous for the albumin produced according to the process for the reasons mentioned above, PKA can be removed by special measures if necessary. This includes incubation with activated carbon with subsequent filtration, preferably with depth filters, or direct filtration through filters containing activated carbon.
- Ion exchangers such as cation or anion exchangers
- cation or anion exchangers are also well suited for removing the PKA. This can be done by contacting the albumin-containing solution with the matrix in columns, or batch processes familiar to the person skilled in the art. Alternatively, dextran sulfate or heparin matrices can be used to reduce PKA.
- the PKA is reduced in the albumin-containing solution obtained, in the ideal case it is no longer detectable.
- PKA is identical to the activated (coagulation) factor XII (FXIIa), which is generated from its proenzyme form (FXII).
- FXIIa activated (coagulation) factor XII
- FXIII proenzyme
- FXII proenzyme
- the depletion of the FXII can optionally be carried out in order to enable long-term storage of the albumin in the liquid state. This is also important after thawing an albumin solution that may be stored in a frozen state. Accordingly, the albumin solution can be frozen after filling into the final containers, but can also be cooled in a liquid or freeze-dried state and stored at a temperature of up to 40 ° C.
- any precallikrein activator activity that may be present before or after steps (a), (b) or (c) can be removed in a manner known per se, the albumin solution in particular
- A) is brought into contact with activated carbon, after which the activated carbon is removed from the albumin solution, or
- Step (A) is carried out at an albumin concentration between 1 and 25% by weight, in particular between 5 and 10% by weight.
- Step (B) is carried out in particular at an albumin concentration between 5 and 10% by weight.
- a further embodiment of the method according to the invention consists in that the ion exchanger is an anion exchanger and the albumin solution is buffered with sodium acetate in the range from 100 to 150 mmol / l and the pH in the range from 5.0 to 6.0, in particular ⁇ 5.5 lies.
- the ion exchanger is a cation exchanger and the Albumin solution is buffered with sodium acetate in the range of 20-30 mmol / l and the pH is in the range of 4.8-6.0, in particular in the range of 4.8-5.2.
- the invention relates. furthermore an albumin solution which can be obtained by the process according to the invention.
- This method is applicable to albumin solutions obtained from various sources, e.g. from blood plasma or serum, from albumin-containing fractions from plasma fractionation, from albumin obtained from culture supernatant after recombinant production or transgenically produced albumin or from the medium containing the albumin, such as milk.
- aqueous albumin solution from the Cohn process (after dia / ultrafiltration) with a protein content of about 23%, Triton X-100 and tri-n-butyl phosphate (TNBP) are added to a concentration of 1% each.
- the albumin solution is then stirred at 30 ° C. for 4 hours.
- castor oil is first added with stirring to a concentration of 5%, while the solution is brought to a temperature in the range from 20-25 ° C. The mixture is then stirred for 30 minutes. After stirring, the 60 minute mixture is left to stand, whereby a heavy, aqueous phase and a light phase form.
- the heavy phase is separated off and filtered through a filter with membranes with a pore size of ⁇ 1 ⁇ m and ⁇ 0.45 ⁇ m.
- the light phase (oil phase) contains the TNBP and is discarded.
- the filtered solution is passed through a solid phase extraction column to separate the Triton X-100.
- a polystyrene-divinylbenzene polymer (Amberchrome CG 161) without hydrophobic side chains is used as the hydrophobic matrix.
- Water for injection is used to wash out the column, this process being monitored by measuring the UV absorption at 280 nm.
- the column is regenerated after use.
- the following can be added as stabilizers: glycine, glutamate, arginine, maltose, sorbitol or mixtures of the substances.
- the solution is then sterile filtered through a membrane filter with a pore size of ⁇ 0.2 ⁇ m.
- the sterile-filtered solution is filled into sterile, pyrogen-free PVC bags under aseptic conditions and labeled.
- the labeled bags are frozen at a temperature of ⁇ -60 ° C so that the temperature inside the bags reaches ⁇ -30 ° C.
- the bags are stored at this temperature ( ⁇ . -30 ° C).
- An albumin solution with a protein concentration of 5-10% by weight is subjected to ion exchange chromatography (DEAE-Sepharose, Q-Sepharose) at pH 5-6, in particular ⁇ 5.5, in a 100-150 mmol sodium buffered system , Due to the high ionic strength, a PKA-free albumin solution is obtained in one pass.
- ion exchange chromatography DEAE-Sepharose, Q-Sepharose
- An albumin solution with a protein concentration of 5-10 wt .-% is at pH 5-6, preferably 4.8-5.2, in a 20-30 mmol / l sodium acetate buffered system of an ion exchange Chromatography (SP-Toyopearl, CM-Sepharose) subjected.
- SP-Toyopearl, CM-Sepharose an ion exchange Chromatography
- the solution is then sterile filtered through a membrane filter with a pore size of ⁇ 0.2 ⁇ m.
- the sterile-filtered solutions are filled into sterile, pyrogen-free PVC bags and labeled under aseptic conditions.
- the labeled bags are frozen at a temperature of ⁇ -60 ° C so that the temperature inside the bags reaches ⁇ -30 ° C.
- the bags are stored at this temperature ( ⁇ . -30 ° C) .
- SEC size exclusion chromatography
- an SEC column is equilibrated with a buffer solution containing the binding ligands (eg phenylbutazone or warfarin).
- the absorption in the UV range is monitored continuously.
- the protein is applied to the column and eluted in the equilibration buffer.
- Bound ligand elutes together with the albumin, the unbound, usually smaller ligand, elutes accordingly later.
- the absorption of the bound ligand usually interferes with the absorption of the albumin and possible accompanying substances such as stabilizers.
- the later "negative" so-called "vacancy” peak is caused by the depletion of the ligand in the subsequent buffer, which takes up more area the more bound to the previously eluted albumin.
- Koizumi et al. (Biomed Chromatogr 1998; 12: 203-210) used this method in a slightly modified form to investigate the binding capacities of substances on albumin or its affinities, for example by adding constant concentrations of albumins in separate runs with increasing amounts of the ligand and thus the binding capacity in the form of albumin-to-substance ratios could be determined.
- a Biosep-SEC-S 4 ⁇ 00 column, 300x4.6 mm micron (Phenomenenx) on a Shimadzu HPLC system was used for this investigation.
- the buffer flow rate was 0.35 ml / min, the column having been equilibrated with 50 mM potassium phosphate buffer, pH 7.4.
- the protein concentration was 50 ⁇ M, the injection volume 80 ⁇ l.
- Phenylbutazone was tracked at 263 nm, warfarin at 308 nm. The linear absorption ranges had previously been determined.
- the albumin described in this application was used (1) and two commercially available (stabilized) albumin preparations (2,3). These were 20% albumin solutions.
- FIG. 1 shows a superposition of four different chromatograms, the column being equilibrated in 50 ⁇ M phenylbutazone (in phosphate buffer).
- the albumin initially eluted, the peak indicating the sum of the protein absorption and that of the bound substance.
- an N-acetyl-tryptophan (stabilizer) peak is usually seen in the case of a commercial albumin.
- the 'vacancy' peak appears in the form of a 'negative' absorption representation relative to the level of the equilibration buffer including the substance. The higher (in the negative sense) this peak or the larger the peak area, the more substance has bound to the previously eluted albumin.
- FIG. 2 shows the UV absorptions of three phenylbutazone concentrations bound to albumin (after subtraction of the buffer peak).
- albumins containing caprylate and N-acetyl-tryptophan
- albumin prepared by the process described in this application were chromatographed and the binding qualities compared.
- the peak in area and height are clearly larger in the case of the new albumin. This applies similarly to the second example, namely warfarin, as shown in FIG. 3.
- the column was loaded with a 1% Triton X-100 solution.
- the Triton X was 1% Triton X-100 solution.
- the RP-18 gel binds 140 mg Triton X-100 / ml gel and the Amberchrome gel binds 160 mg Triton X-100 / ml gel.
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- Life Sciences & Earth Sciences (AREA)
- Pharmacology & Pharmacy (AREA)
- Engineering & Computer Science (AREA)
- Bioinformatics & Cheminformatics (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- Chemical & Material Sciences (AREA)
- General Health & Medical Sciences (AREA)
- Medicinal Chemistry (AREA)
- Animal Behavior & Ethology (AREA)
- Chemical Kinetics & Catalysis (AREA)
- Epidemiology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- General Chemical & Material Sciences (AREA)
- Organic Chemistry (AREA)
- Proteomics, Peptides & Aminoacids (AREA)
- Zoology (AREA)
- Gastroenterology & Hepatology (AREA)
- Immunology (AREA)
- Diabetes (AREA)
- Hematology (AREA)
- Medicines That Contain Protein Lipid Enzymes And Other Medicines (AREA)
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- Medicines Containing Material From Animals Or Micro-Organisms (AREA)
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Abstract
Description
Claims
Priority Applications (15)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US10/544,833 US20060234907A1 (en) | 2004-02-13 | 2004-02-13 | Albumin solution and process for the production thereof |
UAA200508678A UA80469C2 (en) | 2003-02-13 | 2004-02-13 | Method for the production of albumin |
SI200430395T SI1592439T1 (en) | 2003-02-13 | 2004-02-13 | Method for production of an albumin solution |
BR0407458-0A BRPI0407458A (en) | 2003-02-13 | 2004-02-13 | Albumin solution and process for its preparation |
YUP-2005/0624A RS50891B (en) | 2003-02-13 | 2004-02-13 | Method for the production an albumin solution |
DK04710818T DK1592439T3 (en) | 2003-02-13 | 2004-02-13 | Process for preparing an albumin solution |
CA002514163A CA2514163A1 (en) | 2003-02-13 | 2004-02-13 | Albumin solution and method for the production thereof |
EP04710818A EP1592439B1 (en) | 2003-02-13 | 2004-02-13 | Method for production of an albumin solution |
MXPA05008276A MXPA05008276A (en) | 2003-02-13 | 2004-02-13 | Albumin solution and method for the production thereof. |
AU2004212324A AU2004212324B2 (en) | 2003-02-13 | 2004-02-13 | Albumin solution and method for the production thereof |
JP2006501841A JP2006517938A (en) | 2003-02-13 | 2004-02-13 | Albumin solution and process for its preparation |
DE502004003834T DE502004003834D1 (en) | 2003-02-13 | 2004-02-13 | PROCESS FOR PREPARING AN ALBUMINE SOLUTION |
IL169828A IL169828A0 (en) | 2003-02-13 | 2005-07-21 | Albumin solution and method for the production thereof |
NO20053677A NO20053677L (en) | 2003-02-13 | 2005-07-29 | Process for the preparation of albumin |
CY20071101052T CY1106793T1 (en) | 2003-02-13 | 2007-08-07 | ALBUMIN SOLUTION AND METHOD FOR ITS PREPARATION |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
ATA218/2003 | 2003-02-13 | ||
AT2182003 | 2003-02-13 |
Publications (1)
Publication Number | Publication Date |
---|---|
WO2004071524A1 true WO2004071524A1 (en) | 2004-08-26 |
Family
ID=32854882
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/EP2004/001397 WO2004071524A1 (en) | 2003-02-13 | 2004-02-13 | Albumin solution and method for the production thereof |
Country Status (22)
Country | Link |
---|---|
EP (1) | EP1592439B1 (en) |
JP (1) | JP2006517938A (en) |
KR (1) | KR20050103292A (en) |
CN (1) | CN100384471C (en) |
AT (1) | ATE362376T1 (en) |
AU (1) | AU2004212324B2 (en) |
BR (1) | BRPI0407458A (en) |
CA (1) | CA2514163A1 (en) |
CY (1) | CY1106793T1 (en) |
DE (1) | DE502004003834D1 (en) |
DK (1) | DK1592439T3 (en) |
ES (1) | ES2285427T3 (en) |
IL (1) | IL169828A0 (en) |
MX (1) | MXPA05008276A (en) |
NO (1) | NO20053677L (en) |
PL (1) | PL376644A1 (en) |
PT (1) | PT1592439E (en) |
RS (1) | RS50891B (en) |
RU (1) | RU2305556C2 (en) |
UA (1) | UA80469C2 (en) |
WO (1) | WO2004071524A1 (en) |
ZA (1) | ZA200506452B (en) |
Cited By (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
DE102005023155A1 (en) * | 2005-05-13 | 2006-11-16 | Albutec Gmbh | albumin solution |
WO2007079886A1 (en) * | 2005-12-22 | 2007-07-19 | Csl Behring Gmbh | Octanoate-reduced human albumin |
EP2072056A1 (en) | 2007-11-12 | 2009-06-24 | Grifols, S.A. | Process for obtaining high efficiency human albumin for use in detoxification therapy |
US7851446B2 (en) | 2007-10-26 | 2010-12-14 | Grifols, S.A. | Use of therapeutic human albumin for treatment of alzheimer'S disease |
US10220101B2 (en) | 2010-04-19 | 2019-03-05 | Vergell Medical S.A. | Combination of drugs with protein-binding prodrugs |
Families Citing this family (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN111195351A (en) * | 2020-01-20 | 2020-05-26 | 华兰生物工程重庆有限公司 | Preparation method of 5% low-concentration human serum albumin |
Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
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EP0366946A1 (en) * | 1988-10-07 | 1990-05-09 | New York Blood Center, Inc. | Removal of process chemicals from labile biological mixtures by hydrophobic interaction chromatography |
DE19729778A1 (en) * | 1997-07-11 | 1999-01-21 | Blutspendedienst Der Drk Lande | Process for the preparation of virus-inactivated biological fluids |
US5919907A (en) * | 1997-12-22 | 1999-07-06 | Shanbrom Technologies Llc | Preparation and utilization of a novel sterile albumin |
Family Cites Families (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JPH0669961B2 (en) * | 1984-09-25 | 1994-09-07 | 株式会社ミドリ十字 | Immunoglobulin heat treatment method |
US5250662A (en) * | 1989-10-05 | 1993-10-05 | Alpha Therapeutic Corporation | Albumin purification |
IL136552A (en) * | 2000-06-05 | 2005-05-17 | Omrix Biopharmaceuticals Ltd | Method for the inactivation of viruses by a solvent - detergent combination and by nanofiltration |
-
2004
- 2004-02-13 PT PT04710818T patent/PT1592439E/en unknown
- 2004-02-13 AT AT04710818T patent/ATE362376T1/en not_active IP Right Cessation
- 2004-02-13 WO PCT/EP2004/001397 patent/WO2004071524A1/en active IP Right Grant
- 2004-02-13 CA CA002514163A patent/CA2514163A1/en not_active Abandoned
- 2004-02-13 DE DE502004003834T patent/DE502004003834D1/en not_active Expired - Lifetime
- 2004-02-13 DK DK04710818T patent/DK1592439T3/en active
- 2004-02-13 BR BR0407458-0A patent/BRPI0407458A/en not_active IP Right Cessation
- 2004-02-13 RU RU2005128507/15A patent/RU2305556C2/en not_active IP Right Cessation
- 2004-02-13 AU AU2004212324A patent/AU2004212324B2/en not_active Ceased
- 2004-02-13 PL PL376644A patent/PL376644A1/en unknown
- 2004-02-13 RS YUP-2005/0624A patent/RS50891B/en unknown
- 2004-02-13 MX MXPA05008276A patent/MXPA05008276A/en active IP Right Grant
- 2004-02-13 UA UAA200508678A patent/UA80469C2/en unknown
- 2004-02-13 KR KR1020057014946A patent/KR20050103292A/en not_active Application Discontinuation
- 2004-02-13 JP JP2006501841A patent/JP2006517938A/en active Pending
- 2004-02-13 CN CNB2004800038643A patent/CN100384471C/en not_active Expired - Fee Related
- 2004-02-13 EP EP04710818A patent/EP1592439B1/en not_active Expired - Lifetime
- 2004-02-13 ES ES04710818T patent/ES2285427T3/en not_active Expired - Lifetime
-
2005
- 2005-07-21 IL IL169828A patent/IL169828A0/en unknown
- 2005-07-29 NO NO20053677A patent/NO20053677L/en not_active Application Discontinuation
- 2005-08-12 ZA ZA200506452A patent/ZA200506452B/en unknown
-
2007
- 2007-08-07 CY CY20071101052T patent/CY1106793T1/en unknown
Patent Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
EP0366946A1 (en) * | 1988-10-07 | 1990-05-09 | New York Blood Center, Inc. | Removal of process chemicals from labile biological mixtures by hydrophobic interaction chromatography |
DE19729778A1 (en) * | 1997-07-11 | 1999-01-21 | Blutspendedienst Der Drk Lande | Process for the preparation of virus-inactivated biological fluids |
US5919907A (en) * | 1997-12-22 | 1999-07-06 | Shanbrom Technologies Llc | Preparation and utilization of a novel sterile albumin |
Cited By (14)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
DE102005023155A1 (en) * | 2005-05-13 | 2006-11-16 | Albutec Gmbh | albumin solution |
US8236927B2 (en) | 2005-05-13 | 2012-08-07 | Albutec Gmbh | Stabilizer molecule-depleted albumin solution |
JP2008545626A (en) * | 2005-05-13 | 2008-12-18 | アルブテック ゲーエムベーハー | Albumin solution to remove stabilizer molecules |
JP2009520714A (en) * | 2005-12-22 | 2009-05-28 | ツェー・エス・エル・ベーリング・ゲー・エム・ベー・ハー | Low octanoate human albumin |
AU2006334795B2 (en) * | 2005-12-22 | 2012-02-16 | Csl Behring Gmbh | Octanoate-reduced human albumin |
WO2007079886A1 (en) * | 2005-12-22 | 2007-07-19 | Csl Behring Gmbh | Octanoate-reduced human albumin |
JP2012233007A (en) * | 2005-12-22 | 2012-11-29 | Csl Behring Gmbh | Octanoate-reduced human albumin |
US8877711B2 (en) | 2005-12-22 | 2014-11-04 | Csl Behring Gmbh | Octanoate-reduced human albumin |
US7851446B2 (en) | 2007-10-26 | 2010-12-14 | Grifols, S.A. | Use of therapeutic human albumin for treatment of alzheimer'S disease |
EP2072056A1 (en) | 2007-11-12 | 2009-06-24 | Grifols, S.A. | Process for obtaining high efficiency human albumin for use in detoxification therapy |
US8088416B2 (en) | 2007-11-12 | 2012-01-03 | Grifols, S.A. | Process for obtaining high efficiency human albumin for use in detoxification therapy |
US8231599B2 (en) | 2007-11-12 | 2012-07-31 | Grifols, S.A. | Process for obtaining high efficiency human albumin for use in detoxification therapy |
US10220101B2 (en) | 2010-04-19 | 2019-03-05 | Vergell Medical S.A. | Combination of drugs with protein-binding prodrugs |
US10426841B2 (en) | 2010-04-19 | 2019-10-01 | Vergell Medical S.A. | Combination of drugs with protein-binding prodrugs |
Also Published As
Publication number | Publication date |
---|---|
RU2005128507A (en) | 2006-01-20 |
CY1106793T1 (en) | 2012-05-23 |
EP1592439B1 (en) | 2007-05-16 |
PT1592439E (en) | 2007-06-22 |
AU2004212324A1 (en) | 2004-08-26 |
CN1798573A (en) | 2006-07-05 |
UA80469C2 (en) | 2007-09-25 |
JP2006517938A (en) | 2006-08-03 |
DK1592439T3 (en) | 2007-09-10 |
PL376644A1 (en) | 2006-01-09 |
AU2004212324B2 (en) | 2009-05-07 |
CN100384471C (en) | 2008-04-30 |
MXPA05008276A (en) | 2006-03-21 |
EP1592439A1 (en) | 2005-11-09 |
IL169828A0 (en) | 2011-08-01 |
RS20050624A (en) | 2007-06-04 |
DE502004003834D1 (en) | 2007-06-28 |
BRPI0407458A (en) | 2006-01-31 |
ATE362376T1 (en) | 2007-06-15 |
RU2305556C2 (en) | 2007-09-10 |
KR20050103292A (en) | 2005-10-28 |
NO20053677D0 (en) | 2005-07-29 |
NO20053677L (en) | 2005-10-31 |
CA2514163A1 (en) | 2004-08-26 |
RS50891B (en) | 2010-08-31 |
ES2285427T3 (en) | 2007-11-16 |
ZA200506452B (en) | 2007-01-31 |
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